Bone marrow infection caused by Actinobacillus ureae in a rheumatoid arthritis patient.
A patient with rheumatoid arthritis is described who presented with low-grade fever for 3 months, in whom Actinobacillus ureae was cultured from bone marrow aspirate. Fever responded favourably to penicillin therapy. It is the first reported isolation of A. ureae from bone marrow.
Avlami
A
A
Department of Microbiology, Laiko General Hospital, Athens, Greece.
Papalambrou
C
C
Tzivra
M
M
Dounis
E
E
Kordossis
T
T
D000188:Actinobacillus / Q000187:drug effects / Q000302:isolation & purification*; D000189:Actinobacillus Infections / Q000188:drug therapy* / Q000209:etiology; D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D001707:Biopsy, Needle; D001853:Bone Marrow / Q000382:microbiology*; D004008:Diclofenac / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005334:Fever; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D008297:Male; D009460:Neurologic Examination; D010400:Penicillin G / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D010808:Physical Examination
D000894:Anti-Inflammatory Agents, Non-Steroidal; D010406:Penicillins; D004008:Diclofenac; D010400:Penicillin G; D007213:Indomethacin